Willson, Stacey Grace
Willson, Stacey Grace is an sole proprietor health care provider with primary practice located at 200 N Lakepointe Dr , Lafayette LA 70506-6431. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Willson, Stacey Grace can be contacted via phone (337) 412-8048.Contact Information
Primary practice address
200 N Lakepointe Dr
Lafayette LA 70506-6431
Phone: (337) 412-8048
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 37976 | Texas |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 3156 | Louisiana |
Profile Details
| NPI number | 1134177678 |
|---|---|
| LBN Legal business name | Willson, Stacey Grace |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 5th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134177678 | NPPES |
| Texas | Other | 37976 | STATE LICENSE |
Popular Providers
-
Butcher, Ronald William
2020 West Pinhook Road Suite 504, Lafayette LA 70508 -
Bauersfeld, Lynne M
401 Audubon Blvd Suite 206B, Lafayette LA 70503-2676 -
Green, Martha G
1105 S College Rd Ste A, Lafayette LA 70503 -
Dominique, Aimee D.
143 Ridgeway Dr Suite 207, Lafayette LA 70503-3414 -
Boling, Chris
2111 W Pinhook Rd Suite B, Lafayette LA 70508-1504 -
Gaydon, Cynthia A
120 Rue Beauregard Suite 202, Lafayette LA 70508-3129 -
Young, Elizabeth D.
228 Montrose Ave , Lafayette LA 70503-3822 -
Judice, Terry T.
141 Ridgeway Dr. Suite 103, Lafayette LA 70503